WHAT ARE THE IMPLICATIONS OF THIS SHIFT FOR HOSPITALS, CONSUMERS, AND THE HEALTH CARE DELIVERY SYSTEM AS A WHOLE?

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WHAT ARE THE IMPLICATIONS OF THIS SHIFT FOR HOSPITALS, CONSUMERS, AND THE HEALTH CARE DELIVERY SYSTEM AS A WHOLE?

The chapters assigned this week focused on hospitals and ambulatory (outpatient) healthcare organizations. Each has their own unique administrative and clinical requirements due to shifts in utilization. Choose one of situations presented below and discuss the implications for healthcare organizations, consumers, and the health care delivery system as a whole. Fully state and explain your position while providing at least two references (one may be the text).

Situation 1: Overnight hospitalization has significantly declined as services have shifted to ambulatory care (care completed within a 24-hour period). -What are some of the root causes for these shifts?

– What are the implications of this shift for hospitals, consumers, and the health care delivery system as a whole?

Situation 2: More than half of all surgical procedures are now performed in ambulatory surgery facilities with the shift of surgery from the inpatient setting to outpatient. Explain the implications for hospitals, physicians and consumers. – What are some of the root causes for these shifts?

– What are the implications of this shift for hospitals, consumers, and the health care delivery system as a whole?

According to Sultz and Young (2011),

 

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Pain and psychological well-being of older persons living in nursing homes: an exploratory study in planning patient-centred intervention.

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Pain and psychological well-being of older persons living in nursing homes: an exploratory study in planning patient-centred intervention.

Authors:
Tse Mimi; Leung Rincy; Ho Suki
Affiliation:
Mimi Tse PhD RN Assistant Professor School of Nursing The Hong Kong Polytechnic University Kowloon Hong Kong
Rincy Leung BSN RN Registered Nurse Department of Health Hong Kong
Suki Ho BSN RN Clinical Instructor School of Nursing The Hong Kong Polytechnic University Kowloon Hong Kong
Source:
Journal of Advanced Nursing (J ADV NURS) 2012 Feb; 68 (2): 312-21. (47 ref)
Publication Type:
journal article pictorial research tables/charts
Language:
English
Major Subjects:
Gerontologic Care
Long Term Care
Nursing Home Patients Psychosocial Factors In Old Age
Pain Therapy In Old Age
Patient Centered Care
Psychological Well-Being In Old Age
Minor Subjects:
Activities of Daily Living; Aged; Aged 80 and Over; Analgesics Therapeutic Use; Clinical Assessment Tools; Coefficient Alpha; Convenience Sample; Cross Sectional Studies; Data Analysis Software; Depression; Descriptive Statistics; Educational Status; Female; Funding Source; Geriatric Assessment; Geriatric Depression Scale; Happiness; Health Status; Hong Kong; Human; Inpatients; Internal Consistency; Interviews; Loneliness; Male; Mann-Whitney U Test; Marital Status; Middle Age; Nursing Homes; P-Value; Pain Measurement; Personal Satisfaction; Psychological Tests; Quantitative Studies; Revised UCLA Loneliness Scale; Scales; Spearmans Rank Correlation Coefficient; Summated Rating Scaling; Test-Retest Reliability
Abstract:
tse m. leung r. & ho s. (2012) Pain and psychological well-being of older persons living in nursing homes: an exploratory study in planning patient-centred intervention. Journal of Advanced Nursing 68(2) 312-321. Abstract Aim. This article is a report on a study to examine the pain situation the use of oral analgesics and non-pharmacological strategies and the psychological well-being of older patients living in nursing homes; the relationships between pain and psychological well-being were also explored. Background. Pain is common among older adults world-wide and tends to be under-treated. Indeed the high prevalence of pain may further hinder the fulfilment of psychological needs in a Maslow hierarchy of needs model. Method. It was a quantitative cross-sectional study; older adults from six nursing homes were invited to join the study in 2007-2009 with a response rate of 100%. Pain was measured using the Geriatric Pain Assessment happiness using the Subjective Happiness Scale life satisfaction using the Life Satisfaction Index A Form loneliness using the Revised UCLA Loneliness Scale and depression was measured using the Geriatric Depression Scale. Results. A convenience sample of 302 older patients (213 females and 89 males aged from 60 to 101 mean age of 8499) joined the study. The majority of them had experienced pain in the previous 3 months with a pain intensity of 451 on a 10-point scale. Pain sites were mainly the knee back shoulder and musculoskeletal areas. Only 50% of them took oral analgesics and 70% used non-pharmacological measures for pain relief. The pain group reported significantly more loneliness and depression when compared with their no-pain counterparts. Conclusions. As the number of older patients increases so does the need for alternative accommodation; thus pain management education is urgently needed for staff and nursing home residents.
Journal Subset:
Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland
Special Interest:
Advanced Nursing Practice; Gerontologic Care; Pain and Pain Management; Psychiatry/Psychology
Instrumentation:
Geriatric Depression Scale (GDS) [Chinese] Subjective Happiness Scale
Geriatric Pain Assessment
Life Satisfaction Index A Form [Chinese] Revised UCLA Loneliness Scale [Chinese] ISSN:
0309-2402
MEDLINE Info:
PMID: 21679226 NLM UID: 7609811
Grant Information:
CADENZA: A Jockey Club Initiative for Seniors The Hong Kong Jockey Club Charities Trust.
Entry Date:
20120127
Revision Date:
20150605
DOI:
http://dx.doi.org/10.1111/j.1365-2648.2011.05738.x

 

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Reflect on the title of the story; what additional meaning does it add to the story? As we analyze a story, we have to look at it from different perspectives. We can look at it literally, metaphorically, or we can look at what it doesn’t tell us so we have to “create” our own meaning.

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Reflect on the title of the story; what additional meaning does it add to the story?
As we analyze a story, we have to look at it from different perspectives. We can look at it literally, metaphorically, or we can look at what it doesn’t tell us so we have to “create” our own meaning.

In Chopin’s “The Story of an Hour,” we only have four characters, but the main character has a serious heart condition. Just like in poetry, how can we read this literally, and then how can we read it metaphorically? Consider the time period of this story (before all the medical treatment we now have for heart disease) and the role of women at that time.
The story’s setting is in one house; it begins downstairs, travels upstairs to Louise’s bedroom, then returns down the stairs at the story’s end. The only glimpse we get of the outside is through Louise’s window. How does the contrast between the house and the view out the window reflect the meaning in the story? Does the upper and lower level of the house reflect possible meaning?
Reflect on the title of the story; what additional meaning does it add to the story?
This discussion is designed for you to look at your own analytical process in essay writing, to tell what works for you, and to see how others use techniques and skills to improve their ability to analyze. We can often learn from others.

Look at the process you used to analyze the short story in Essay 2. What was your initial response to the first reading of the story? How did it change with subsequent readings? What did you do to arrive at an analytical reading and statement about the story? Try to reflect and lay out the steps you used in writing and in re

 

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Which of the following industries is more suitable for using a job costing system? 1. chemical plants. 2. petroleum product manufacturing 3. medical clinics. 4. cement manufacturing 5. food processing.

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Which of the following industries is more suitable for using a job costing system? 1. chemical plants. 2. petroleum product manufacturing 3. medical clinics. 4. cement manufacturing 5. food processing.

Which of the following industries is more suitable for using a job costing system?
1. chemical plants.
2. petroleum product manufacturing
3. medical clinics.
4. cement manufacturing
5. food processing.

 

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